STEVEN THOMAS BRANTINGHAM DPM - Podiatrist License in Illinois | # 016005807

STEVEN THOMAS BRANTINGHAM DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005807

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

STEVEN

Middle

THOMAS

Last Name

BRANTINGHAM

Business Name

STEVEN THOMAS BRANTINGHAM DPM

Original Issue Date

09/21/2018

Effective Date

12/27/2018

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021